Curve progression after treatment with the Wilmington brace for idiopathic scoliosis.
We evaluated curve progression after completion of Wilmington brace treatment for adolescent idiopathic scoliosis in 67 patients. Follow-up ranged from 5 to 13 years. Pretreatment curve magnitudes ranged from 20 to 39 degrees, with a Risser sign of 0 or 1. Sixteen patients (21%) experienced 5-16 degrees of curve progression after brace treatment was discontinued. For nine of these patients, the final curve magnitude was within 5 degrees of the pretreatment Cobb angle, reflecting a loss of correction achieved during brace treatment. The remaining seven patients had final curve magnitudes measuring 8-32 degrees greater than the pretreatment Cobb angle.
Piazza
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MR
Alfred I. duPont Institute, Wilmington, DE 19899.
Bassett
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GS
D000293:Adolescent; D000886:Anthropometry; D001846:Bone Development; D001915:Braces; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging* / Q000601:surgery / Q000628:therapy; D013123:Spinal Fusion